错过的物理治疗预约及其对成本,效率和患者结果的影响
F Fatoye1, E Afolabi Olubukola2, T Gebrye1
1Department of Health Professions, Manchester Metropolitan University, Manchester, UK.
Annali di igiene : medicina preventiva e di comunita
|November 29, 2023
概括
在尼日利亚,超过一半的物理治疗预约都错过了 (52.5%),这大大影响了费用和患者康复. 实施提醒系统可以减少错过预约,提高医疗保健的效率.
科学领域:
- 医疗保健管理的管理
- 康复医学 康复医学 康复医学
- 卫生经济学 卫生经济学
背景情况:
- 错过的预约对物理治疗部门的运营效率和财务稳定性构成重大挑战.
- 了解错过预约的预测因素和影响对于优化患者护理和资源配置至关重要.
研究的目的:
- 评估尼日利亚物理治疗患者错过预约的等待时间,模式,预测因素和经济影响.
- 评估MAs对治疗成本,部门效率和患者康复时间表的影响.
主要方法:
- 对2009年至2019年期间在尼日利亚门诊预订的3,243次物理治疗预约进行了回顾性分析.
- 数据收集包括错过的预约,治疗费用和社会人口特征,以计算收入损失和估计恢复时间的影响.
主要成果:
- 观察到高率52.5%的错过预约 (共3243人中1701人),平均等待时间为9.6天.
- 错过预约的预测因素包括女性性别,居住在诊所以外的地点,以及有骨科条件.
- 52.5%的MA率带来了76.6%的效率,每次治疗的N1000成本损失收入,以及患者康复时间的潜在增加3402天.
结论:
- 错过的物理治疗预约显著增加了成本,降低了效率,并延长了患者的康复.
- 建议采用创新策略,如提醒系统,以减轻患者缺席及其不良后果.
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